Candidate Spotlight 7

Featured Candidate

Candidate Profile #7 - Corporate Compliance Officer

This candidate has 15 years of experience in compliance having served as Medical Auditor, Director of Revenue Integrity and Compliance Officer. This candidate is also an experienced RN with Compact States Licensure.

This candidate has solid knowledge of healthcare related laws and regulations including Stark, Anti-kickback, False Claims Act, HIPAA, EMTALA as well as OIG Work Plans and Federal Sentencing Guidelines. This candidate also has experience working under a Corporate Integrity Agreement.

This candidate is a strong leader having previously managed approximately 60 employees and maintained budgets across several hospital units and was responsible for system wide Joint Commission preparedness in a previous role. This candidate revised/revamped Compliance Programs and provides compliance training to all employees at his system. As Director of Revenue Integrity, this candidate helped in the implementation of changes in the hospital’s Chargemaster as well as identified inconsistencies in the ancillary system interfaces that resulted in a large net revenue increase. Additionally, this candidate has experience as Privacy Officer.

This candidate has a Master of Science in Nursing, is a Certified Fraud Examiner, Certified Professional Coder and is Certified in Healthcare Compliance.

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